Form N-11 - State Tax Refund Worksheet - 2016

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Worksheets
Form N-11 – State Tax Refund Worksheet
Hawaii Additions Worksheet
1. Enter your State tax overpayment (line 42) from your 2015 Form N-11
a Taxable amount relating to Individual Housing Account ............
return. Do not enter more than the amount of your state and local income
b Hawaii tax refund adjustment ........................................................
taxes shown on your 2015 Itemized Deduction Worksheet A-2, line 5 ...........
c Peace Corps compensation..........................................................
2. Enter from your 2015 Form N-11 the following:
d Depreciation adjustment ................................................................
a. Refundable food/excise tax credit (line 28) ..................................
e Gain adjustment .............................................................................
b. Credit for low-income household renter (line 29) ........................
f Excluded income earned outside the U.S. ..................................
c. Credit for child and dependent care expenses (line 30) .............
g Student loan interest deduction ....................................................
d. Credit for child passenger restraint system(s) (line 31) ..............
h Employer-provided adoption benefi ts ..........................................
e.
....
Carryover of the residential construction and remodeling tax credit (Sch. CR, line 11)
i Qualifi ed higher education expenses ...........................................
3. Add lines 2a through 2e .................................................................
j
Other adjustments (attach separate explanation to Form N-11) .................
4. Line 1 minus line 3. If zero or less, enter “0” here and on
k Add lines a to j. Enter here and on Form N-11, line 10 ............
line 8, skip lines 5-7; otherwise continue on to line 5 ..................
5. Enter amount from your 2015 Form N-11, line 22 ......................
Hawaii Subtractions Worksheet
6. Enter the amount shown below for the fi ling status you
a Interest on federal obligations. But subtract the amount
claimed on your 2015 Form N-11 ................................................
from line 14 of federal Form 8815 ................................................
Single or married fi ling separately—
$2,200
b Hawaii tax refund adjustment ........................................................
Married fi ling jointly or qualifying widow(er)—
4,400
Head of household—
3,212
c Interest earned by an Individual Housing Account .....................
7. Line 5 minus line 6. Enter the result, but not less than zero ......
d Qualifying compensation to Hansen’s disease patient ..............
8. Compare the amounts on lines 4 and 7 above and enter
e Expenses connected with federal credits ....................................
the SMALLER of the two amounts here .....................................
f Child’s interest and dividend income on federal
9. Enter the taxable part of your refund reported on your 2016
Form 8814 that is not reported on Form N-814 .........................
federal Form 1040, line 10. If this amount is blank, or if you fi led
g
...............
Premiums on and benefi ts from prepaid legal services plans
Form 1040A, or 1040EZ, enter zero here ...................................
h Student loan interest deduction ....................................................
10. If line 8 is LARGER than line 9, subtract line 9 from line 8.
i Employer-provided adoption benefi ts ..........................................
Enter the result here and on line b of the Hawaii
j Certain income from a qualifi ed high technology business .......
Additions Worksheet
OR
If line 8 is SMALLER than line 9, subtract line 8 from
k Individual development accounts .................................................
line 9. Enter the result here and on line b of the
l Section 235-7(a)(14), HRS, capital gain ......................................
Hawaii Subtractions Worksheet
OR
m Other adjustments (attach separate explanation to Form N-11) ..............
If line 8 EQUALS line 9, enter zero and stop here .....................
n Add lines a to m. Enter here and on Form N-11, line 18 ..........
Page 37

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